WI0501001_Compliance_20200610

North Carolina Department of Environmental Quality — Division of Water Resources
INJECTION EVENT RECORD (IER)
Permit Number W1051001
1. Permit Information
Raleigh -Durham Airport Authority
Permittee ^ JUN 0 5 Z020
HPV Jet Fuel Release Area — 7/ 9/2005KC DEO/DWR
Facility Name Central Office
RDU Airport, 2800 John Brantley Boulevard,
Morrisville, NC, Wake County 27560
Facility Address (include County)
2. Injection Contractor Information
EMS Environmental. Inc.
Injection Contractor / Company Name
Street Address-1 17 South Hoover Road
Durham NC 27703
City State Zip Code
[phone]
Area code — Phone number
3. Well Information
Number of wells used for injection: Eight 8
Well IDs: MW-1. MW-2. MW-3. MW-4, MW-6. P-1.
P-2, and P-3
Were any new wells installed during this injection
event?
❑ Yes ® No
If yes, please provide the following information:
Number of Monitoring Wells: N/A
Number of Injection Wells: N/A
Type of Well Installed (Check applicable type):
❑ Bored ❑ Drilled ❑ Direct -Push-
❑ Hand -Augured ❑ Other (specify) N/A
Please include a copy of the GW-I form for each
well installed
Were any wells abandoned during this injection
event?
❑ Yes ® No
If yes, please provide the following information:
Number of Monitoring Wells: N/A
Number of Injection Wells: N/A
Please include a copy of the GW-30 for each well
abandoned.
4. Injectant Information
2" ORC Advanced Socks
Injectant(s) Type / Concentration (can use separate
additional sheets if necessary):
Calcium hydroxide oxide = > 85%
Calcium hydroxide = < 15%
Dipotassium phosphate = < 5%
Monofpotassium phosphate = < 5%
If the injectant is diluted please indicate the source
dilution fluid: N/A
Total Volume Injected (gal): 30 socks
Volume Injected per well (gal) 4 socks, 4 socks, 5
socks, 3 socks. 5 socks, 3 socks, 3 socks, 3 socks
respectively
5. Injection History
Injection date(s): May 29, 2020
Injection number (e.g. 3 of 5): 3 of 4
Is this the last injection at this site?
❑ Yes ® No
I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM IS CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
STANDARDS AID OUT IN THE PERMIT.
-IGNATURE OF rilmmoN CONTRACTOR DATE
J VSTI M .AS R-e"
PRINT NAME OF PERSON PERFORMING THE INJECTION
Submit the original of this form to the Division of Water Resources within 30 days of injection. Form UIC-IER
Attn: UIC Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-807-6464 Rev. 3-1-2016